Development of a Holistic Nursing Model Based on Transcultural Nursing to Improve the Quality of Life of Patients with Type-2 Diabetes Mellitus
Background: The management of type 2 diabetes mellitus (T2DM) primarily emphasizes physical care, yet the quality of life (QoL) remains suboptimal. The management of diabetes often neglects psychological, socio-cultural, and spiritual aspects, which are essential components of transcultural nursing....
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| Format: | Article |
| Language: | English |
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Diponegoro University
2024-04-01
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| Series: | Nurse Media: Journal of Nursing |
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| Online Access: | https://ejournal.undip.ac.id/index.php/medianers/article/view/56812 |
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| author | Ni Wayan Suniyadewi Yuni Sufyanti Arief Ninuk Dian Kurniawati I Dewa Ayu Rismayanti Ni Wayan Trisnadewi Iswatun Iswatun |
| author_facet | Ni Wayan Suniyadewi Yuni Sufyanti Arief Ninuk Dian Kurniawati I Dewa Ayu Rismayanti Ni Wayan Trisnadewi Iswatun Iswatun |
| author_sort | Ni Wayan Suniyadewi |
| collection | DOAJ |
| description | Background: The management of type 2 diabetes mellitus (T2DM) primarily emphasizes physical care, yet the quality of life (QoL) remains suboptimal. The management of diabetes often neglects psychological, socio-cultural, and spiritual aspects, which are essential components of transcultural nursing. Developing a holistic nursing model rooted in transcultural nursing, which has never been broadly investigated, is imperative to enhance QoL in individuals with T2DM.
Purpose: This study aimed to develop a nursing model based on transcultural nursing to enhance the QoL of individuals with T2DM.
Methods: This study employed a quantitative research design with a cross-sectional approach. A sample of 145 individuals with T2DM was recruited using a simple random sampling technique. A self-developed questionnaire was used, incorporating factors from Dossey’s holistic nursing model, Leininger’s transcultural nursing model, and a QoL questionnaire. Inferential statistics using smart PLS-structural equation modeling (SEM) were employed for data analysis.
Results: The findings revealed that the holistic nursing model based on transcultural nursing in individuals with T2DM was influenced directly by respondent characteristics (t=3.313, p=0.001), religious and life philosophy (t=2.836, p=0.005), social and kinship (t=2.579, p=0.010), cultural and lifestyle (t=2.833, p=0.005), biological (t=2.718, p=0.007), and psychological (t=2.497, p=0.013) factors. However, the technological factor was not significantly (t=0.802, p=0.423) associated with the model. The holistic nursing model based on transcultural nursing had a direct influence on the quality of life (t=9.124 and p=0.000).
Conclusion: The holistic nursing model based on transcultural nursing encompasses six variables: respondent characteristics, religious and life philosophy, social and kinship, cultural and lifestyle, and biological and psychological factors. The model can serve as a guideline for managing type 2 DM patients to enhance the QoL. |
| format | Article |
| id | doaj-art-75aa1c69741044b890e5bd31fdbf488b |
| institution | Kabale University |
| issn | 2087-7811 2406-8799 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Diponegoro University |
| record_format | Article |
| series | Nurse Media: Journal of Nursing |
| spelling | doaj-art-75aa1c69741044b890e5bd31fdbf488b2025-08-20T03:50:44ZengDiponegoro UniversityNurse Media: Journal of Nursing2087-78112406-87992024-04-0114114215910.14710/nmjn.v14i1.5681223933Development of a Holistic Nursing Model Based on Transcultural Nursing to Improve the Quality of Life of Patients with Type-2 Diabetes MellitusNi Wayan Suniyadewi0https://orcid.org/0000-0002-7684-0765Yuni Sufyanti Arief1Ninuk Dian Kurniawati2I Dewa Ayu Rismayanti3Ni Wayan Trisnadewi4Iswatun Iswatun5Faculty of Nursing, Universitas Airlangga, IndonesiaFaculty of Nursing, Universitas Airlangga, IndonesiaFaculty of Nursing, Universitas Airlangga, IndonesiaNursing Program, Sekolah Tinggi Ilmu Kesehatan (STIKES) Buleleng Bali, IndonesiaNursing Program, Sekolah Tinggi Ilmu Kesehatan (STIKES) Wira Medika Bali, IndonesiaNursing Department, Faculty of Vocational Studies, Universitas Airlangga, IndonesiaBackground: The management of type 2 diabetes mellitus (T2DM) primarily emphasizes physical care, yet the quality of life (QoL) remains suboptimal. The management of diabetes often neglects psychological, socio-cultural, and spiritual aspects, which are essential components of transcultural nursing. Developing a holistic nursing model rooted in transcultural nursing, which has never been broadly investigated, is imperative to enhance QoL in individuals with T2DM. Purpose: This study aimed to develop a nursing model based on transcultural nursing to enhance the QoL of individuals with T2DM. Methods: This study employed a quantitative research design with a cross-sectional approach. A sample of 145 individuals with T2DM was recruited using a simple random sampling technique. A self-developed questionnaire was used, incorporating factors from Dossey’s holistic nursing model, Leininger’s transcultural nursing model, and a QoL questionnaire. Inferential statistics using smart PLS-structural equation modeling (SEM) were employed for data analysis. Results: The findings revealed that the holistic nursing model based on transcultural nursing in individuals with T2DM was influenced directly by respondent characteristics (t=3.313, p=0.001), religious and life philosophy (t=2.836, p=0.005), social and kinship (t=2.579, p=0.010), cultural and lifestyle (t=2.833, p=0.005), biological (t=2.718, p=0.007), and psychological (t=2.497, p=0.013) factors. However, the technological factor was not significantly (t=0.802, p=0.423) associated with the model. The holistic nursing model based on transcultural nursing had a direct influence on the quality of life (t=9.124 and p=0.000). Conclusion: The holistic nursing model based on transcultural nursing encompasses six variables: respondent characteristics, religious and life philosophy, social and kinship, cultural and lifestyle, and biological and psychological factors. The model can serve as a guideline for managing type 2 DM patients to enhance the QoL.https://ejournal.undip.ac.id/index.php/medianers/article/view/56812developmentholistic nursingtranscultural nursingt2dmquality of life |
| spellingShingle | Ni Wayan Suniyadewi Yuni Sufyanti Arief Ninuk Dian Kurniawati I Dewa Ayu Rismayanti Ni Wayan Trisnadewi Iswatun Iswatun Development of a Holistic Nursing Model Based on Transcultural Nursing to Improve the Quality of Life of Patients with Type-2 Diabetes Mellitus Nurse Media: Journal of Nursing development holistic nursing transcultural nursing t2dm quality of life |
| title | Development of a Holistic Nursing Model Based on Transcultural Nursing to Improve the Quality of Life of Patients with Type-2 Diabetes Mellitus |
| title_full | Development of a Holistic Nursing Model Based on Transcultural Nursing to Improve the Quality of Life of Patients with Type-2 Diabetes Mellitus |
| title_fullStr | Development of a Holistic Nursing Model Based on Transcultural Nursing to Improve the Quality of Life of Patients with Type-2 Diabetes Mellitus |
| title_full_unstemmed | Development of a Holistic Nursing Model Based on Transcultural Nursing to Improve the Quality of Life of Patients with Type-2 Diabetes Mellitus |
| title_short | Development of a Holistic Nursing Model Based on Transcultural Nursing to Improve the Quality of Life of Patients with Type-2 Diabetes Mellitus |
| title_sort | development of a holistic nursing model based on transcultural nursing to improve the quality of life of patients with type 2 diabetes mellitus |
| topic | development holistic nursing transcultural nursing t2dm quality of life |
| url | https://ejournal.undip.ac.id/index.php/medianers/article/view/56812 |
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